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Otorhinolaryngologic Diseases

Otorhinolaryngologic Diseases

Eruptive xanthomas; smooth-shaped, deeply placed nodules; a solitary itchy patch . . . how much do you know about these and 2 other disorders?

Dyspnea and blood-streaked sputum; severe URI followed by rash; chronic pain; Lemierre syndrome . . . how well will you do on this quiz?

Allergic rhinitis and the “allergic triad,” allergy tests for children, allergic asthma, acute urticaria, a lipstick allergy, allergic contact dermatitis of the scalp—these images show a range of common allergic conditions.

Guttate psoriasis often appears in conjunction with an upper respiratory infection, particularly streptococcal tonsillitis, as it did in this patient. This phenomenon is more common in children.

Acupuncture for patients with seasonal allergic rhinitis was found to be more effective than antihistamine use or a sham intervention.

A 58-year-old man with a past medical history of chronic sinus disease and hypothyroidism presented with left periorbital pain and erythema that worsened despite outpatient treatment with topical antibiotics. An outpatient CT scan showed pansinusitis and orbital stranding. The diagnosis was orbital cellulitis and sinusitis.

A 61-year-old man with an 80 pack-year smoking history presented with hoarseness, dyspnea, and cough productive of blood-streaked sputum, all of several week’s duration. The physical examination was unremarkable. What do you suspect and what would you do next?

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